HomeMy WebLinkAboutMINUTES - 06242014 - C.101 (2)RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Medical Director on May 28, 2014,
and by the Health Services Director, as required by the State Departments of Health Care Services and Managed
Health Care, and the Centers for Medicare and Medicaid Services.
FISCAL IMPACT:
Not applicable.
BACKGROUND:
The National Committee on Quality Assurance (NCQA) has requested evidence of Board of Supervisors approval
for each CCHP provider be contained within the provider’s credentials file.
The recommendations were made by CCHP’s Medical Director.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, Contra Costa Health Plan's Providers would not be appropriately credentialed and not
be in compliance with the NCQA.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 06/24/2014 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYES 5 NOES ____
ABSENT ____ ABSTAIN ____
RECUSE ____
Contact: Patricia Tanquary,
313-6004
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of
the Board of Supervisors on the date shown.
ATTESTED: June 24, 2014
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: T Scott, C Rucker, L Maria Perez
C.101
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:June 24, 2014
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and Recredentialing Organizational Providers
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
Attachment
Contra Costa Health Plan
Providers Approved by Medical Director
May 28, 2014
CREDENTIALING PROVIDERS MAY 2014
Name Specialty
Bhat, Anita, M.D.Endocrinology
Corrigan, Emily, M.D.OB/GYN
Greenberg, Alissa, BCBA-D Behavior Analysis
Harrison, Ruby, N.P.Mid-Level
Nephrology
Horwitz, Jessica, N.P.Mid-Level
HIV/Aids
Ingram, Angela, N.P.Mid-Level
Allergy & Immunology
Korah, Mariam, M.D.Radiation Oncology
Narsinh, Kiran, M.D.Gastroenterology
RECREDENTIALING PROVIDERS MAY 2014
Name Specialty
Contreras, David, M.D.Surgery Orthopaedic
Huerta, Sara, N.P.Primary Care
Pediatrician
Husni, Claudia, M.D.Primary Care
Internal Medicine
Isaacs, Mark, M.D.Phlebology
Joseph, Elouise, M.D.Primary Care
Pediatrician
Michlitsch, Michael, M.D.Surgery Orthopaedic
Sato, Ronald, M.D.Plastic and Reconstructive Surgery
Hyperbaric Medicine
Serebrakian, Armen, M.D.Otolaryngology
(ENT)
Torres, Joseph, P.A.Mid-Level
Orthopaedic Surgery Assistant
Wasserman, Ronald, M.D.Infectious Disease
Waters, Tiffany, P.A.Mid-Level
Orthopaedic Surgery Assistant
Weissman, Richard, L.Ac.Acupuncture
Contra Costa Health Plan
Providers Approved by Medical Director
May 28, 2014
Page 2 of 2
RECREDENTIALING ORGANIZATIONAL PROVIDERS
MAY 2014
Provider Name Provide the Following
Services
Location
Diablo Dialysis Access Center, Inc.Dialysis Access
Procedures
Concord
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care -
Diablo Brentwood
Dialysis Brentwood
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care -
Diablo Central Pittsburg
Dialysis Pittsburg
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care -
Diablo Concord
Dialysis Pleasant Hill
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
Fresenius Medical Care - Diablo
Walnut Creek
Dialysis Walnut Creek
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care -
Diablo West Antioch
Dialysis Antioch
US Dental Surgery Centers, Inc.
dba: Children s Dental Surgery
Center
Dental Surgery Center Stockton
bopl-May 28, 2014